Name *

First Name

Last Name

Task *

Please log different types of activities separately, so mark ONE option below per entry:

Amplify Her Meeting

Campaign Phone bank/Canvass

Candidate Screening

Volunteer Recruitment

Comms

Other (please describe below)

Date *

MM

DD

YYYY

Start Time *

Hour

Minute

Second

AM PM

End Time *

Hour

Minute

Second

AM PM